NPIMap

Organization Active NPI

New England Spine Center, Inc.

  • Chiropractor
  • Springfield, MA
National Provider Identifier
1114155942
Registry record updated Jul 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2358 Issued in MA
Legal business name
NEW ENGLAND SPINE CENTER, INC.
Practice address
32 Hampden Street 3Rd Floor
New England Spine Center, Inc.
Springfield, MA 01103
Phone
(413) 733-1777
Fax
(413) 733-1771
NPI assigned
Jul 1, 2009
Last updated
Jul 1, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Carlos R Betancur, D.C.
Title
Manager/Owner
Phone
(413) 733-1777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2358 MA Primary

Addresses

Primary practice location

32 Hampden Street 3Rd Floor
New England Spine Center, Inc.
Springfield, MA 01103

Mailing address

32 Hampden Street 3Rd Floor
New England Spine Center, Inc.
Springfield, MA 01103
Phone (413) 733-1777

Other identifiers 3

IdentifierTypeStateIssuer
Y45368OtherMAMEDICARE
1699971MedicaidMA
Y36695OtherMABC OF MA

National Provider Directory

National Provider Directory

Locations

32 Hampden St
Ste 3
Springfield, MA 01103
Phone (413) 733-1777

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1246406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246406400000",
    "number": "1114155942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 HAMPDEN STREET 3RD FLOOR",
            "address_2": "NEW ENGLAND SPINE CENTER, INC.",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "01103",
            "telephone_number": "413-733-1777",
            "fax_number": "413-733-1771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 HAMPDEN STREET 3RD FLOOR",
            "address_2": "NEW ENGLAND SPINE CENTER, INC.",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "01103",
            "telephone_number": "413-733-1777",
            "fax_number": "413-733-1771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ENGLAND SPINE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-01",
        "last_updated": "2009-07-01",
        "status": "A",
        "authorized_official_last_name": "BETANCUR",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "413-733-1777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "2358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "Y45368",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699971",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC OF MA",
            "identifier": "Y36695",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.